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Organization

MON AMI PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JUDE OLIVIER PHARM D (OWNER/PHARMACIST IN CHARGE)
(318) 965-6302
Entity
Organization

Contact information

Practice address
601 KINGSTON RD STE 100, BENTON, LA 71006
(318) 965-6302
Mailing address
203 POYDRAS AVE, BOSSIER CITY, LA 71111-2550
(337) 349-2981

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
10/13/2023
Last updated
06/25/2025
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